MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna

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MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
A magazine from Cigna Medicare Services                 Spring 2021

MORE
FROM
LIFE
                  ®

A HEALTHY DOSE
OF VITAMIN N(ature)
Soak up the benefits of the great outdoors
page 4

SAVE MONEY AND TIME
Extras to boost your well-being
page 6

VIRTUAL CARE FOR BODY AND MIND
Using technology to treat the whole you
page 10

FAST CARE, BUT WHERE?                        HEALTHY RECIPE
Making the case for urgent care centers      Delicious curried chicken
page 14                                      page 20

H0354_21_95698_M
MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
FEATURES                                               CONNECT WITH US
     4 A Dose of Vitamin N(ature)                              Cigna Customer Service
         The health benefits of being outdoors                 1-800-627-7534 (TTY 711)
                                                               October 1 – March 31:
     6 Save Money and Time                                     7 days a week, 8 a.m. – 8 p.m.
         Cigna extras that can benefit you                     April 1 – September 30:
     9 Opioid Safety Tips                                      Monday – Friday, 8 a.m. – 8 p.m.

         Know the risks and what to do in an                   Messaging service used weekends,
         emergency                                             after hours and on federal holidays.

    10 Caring for Body and Mind, Virtually                     Not yet a customer? Call:
         Use technology to treat the whole you                 1-800-592-9231 (TTY 711)
                                                               Monday - Friday, 8 a.m. - 8 p.m.
     12 		This Way to Wellness                                 By calling the number above, you will be
         Prevention, incentives and rewards                    directed to a licensed benefit advisor.

    14 		Fast Care, But Where?                             @   LetUsHelpU@Cigna.com
         The benefits of urgent care centers                   CignaMedicare.com
                                                               www.facebook.com/Cigna
         COLUMNS                                               View the online version of More
    15 Find-a-Word Puzzle                                      From Life at Cigna.com/medicare/
                                                               resources/newsletters
    16 Ask the Doc
         Cigna Chief Medical Officer Dr. Gina
         Conflitti discusses how stressful events
         can trigger depression

    20 Healthy Recipe
         Delicious curried chicken
                                                                  Together, all the way.                  ®

    Get to know your Cigna plan
    Knowledge is power, which is why it’s important to learn
    about all the benefits that come with your Cigna plan.
    They can add up to some powerful savings.

    Starting on page 6, read about ways you can save
    time and money with extras your plan may include, like
    dental and vision coverage. Your plan may also provide
    an over-the-counter (OTC) allowance to buy aspirin,
    bandages and other health-related items. To learn even
    more about your plan benefits, check the Customer
    Handbook you received in the mail in December. Or visit
    CignaMedicare.com/resources/plan-documents to
    review your Evidence of Coverage.

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MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
FROM OUR PRESIDENT
                Dear Cigna friends,

                 I’m excited to join
                 Cigna as the Medicare
                 Advantage (MA)
                 president, and I look
                 forward to working with
                 my team to ensure you
                 have the best possible
health care experience in 2021. That
includes providing lots of useful plan
benefits you might not know about. See
                                           COVID-19
page 6 to learn more.
                                           VACCINE UPDATE
I’m proud to say that most of Cigna’s
2021 MA plans have earned 4+ Stars (out    Living with COVID-19 has been challenging for all
of a possible 5 Stars) from the Centers    of us, but there’s finally some good news: Safe and
for Medicare & Medicaid Services (CMS).    effective vaccines have been developed and are
These high ratings are evidence of our     being distributed. Below, we’ve answered a few
efforts to provide quality across all of   common questions about getting vaccinated.
our plans.

This past year has certainly been          Are the vaccines safe?
challenging. But with springtime’s fresh   Cigna relies on experts from the U.S. Food and
air and sunshine come optimism, hope       Drug Administration (FDA) and the Centers for
and a chance to shake off the winter       Disease Control and Prevention (CDC) to assess
doldrums by getting in touch with          vaccine safety. After rigorous testing, these
nature. On page 4, we explore how the      experts have found the vaccines to be safe and
great outdoors can boost your mood         effective for adults.
and your health.

We’re weathering the COVID-19 storm        When can I get vaccinated?
with you, and we’re still dedicated
                                           The vaccines are rolling out in phases, with priority
to keeping you informed about
                                           given to those at highest risk; for example, frontline
Coronavirus news and guidelines.
                                           health care workers and first responders were
Visit Cigna.com/coronavirus or
                                           among the first groups to get vaccinated. As more
call Customer Service for the latest
                                           vaccines become available, they will be given
information about how your plan covers
                                           based on medical condition(s) and age.
COVID-19 testing, diagnosis and care.
                                           To learn where and when you can get vaccinated,
See you next issue!
                                           contact your primary care provider’s office or
                                           local health department.

                                           How much do shots cost?
                                           COVID-19 vaccinations are currently covered as a
Aparna Abburi                              preventive service at no additional cost to you.
President, Medicare Advantage
                                           For reliable, continually updated information,
                                           visit our online Coronavirus (COVID-19) Resource
                                           Center at Cigna.com/coronavirus or call
                                           Customer Service.
                                                                                                    3
MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
A Healthy Dose of

    VITAMIN               When the Beatles released Here Comes
                          the Sun back in 1969, no one could
                          have predicted it would eventually and
                          perfectly describe 2021’s spring season.
                          As the famous song says, it has been
                          a long winter, but that just makes this

                 NATURE   spring — and the sunshine it brings with
                          it — even sweeter.
                          If you’ve been hibernating, it’s time to safely
                          leave your winter cave and soak up the benefits
                          of the great outdoors. Here’s what you can
                          expect to find:

                          Serenity
                          Nature can serve as an inspirational refuge,
                          provide a quiet space to reflect and give your
                          mind a much-needed break from the noise
                          of everyday life. Spending time in a green
                          environment can be so mentally healing that
                          the Japanese practice “forest bathing,” where
                          they connect with nature by spending time in
                          the woods.

                          In addition to invoking a sense of calm, nature
                          can actually make you healthier. Trees and
                          plants give off a fragrant, natural aromatherapy.
                          And sunlight helps increase your serotonin
                          levels, which elevates energy, stabilizes your
                          mood and keeps you positive and focused.

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MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
Exercise
Walking and hiking are great ways to get some                   BREATHING
exercise, and the great outdoors offers plenty of               EASIER INDOORS
options. What’s more your speed: a stroll down a                You can also bring
leafy, quiet path or a steeper, more difficult hike?            nature’s health benefits
                                                                indoors with you year-
Whatever your preference, the perfect trail                     round. According
for you is out there. To find it, start with                    to NASA research,
the U.S. National Park Service website at                       houseplants can remove nearly 90% of
www.nps.gov/subjects/trails. With 417 national                  toxins in the air within 24 hours. And they
parks, there’s likely one within driving distance.              can boost concentration and productivity
They offer a variety of pathway types, including:               by up to 15%, while lowering stress levels
> Nature/interpretive trails for strolling and                  and improving your mood.
  learning, with signs that tell stories about local
  plants and animals, or how ancestors lived in                 If you’re just starting out and need help
  the area. These paths are usually short and                   knowing what to grow, ask the experts
  wheelchair accessible.                                        at your local garden center or check
> Foot trails for walking or hiking, with varying               websites that offer gardening tips.
  degrees of distance, incline and difficulty. Look
  at park maps or check at the visitor’s center to
  find the right path for you.                             Immunity
> Bikeways, which are trails for cyclists. Look at         Nature has the ability to boost the body’s
  a trail map before you head out, though. Some            immune system. Studies have shown that:
  bike paths may be open to hikers and horses,             > Simply spending 30 minutes or more a
  and it’s important to understand your right of             week walking in a park can increase your
  way.                                                       resistance to diseases, like cancer and high
> Off-trail hiking that’s more rugged and allows             blood pressure.
  you to use designated off-trail wilderness               > People who took two long walks outdoors
  areas. Check with park staff to make sure you              over two consecutive days doubled their
  have required permits and follow wilderness                cancer-fighting cells and increased cell
  rules.                                                     activity. Not only that, this cell activity
                                                             stayed high for a month.
Don’t have a national park near you? Look for
                                                           > Walking in a green space lowers the stress
local trails by searching the American Hiking
                                                             hormone cortisol, calms anxiety and reduces
Society’s website at www.americanhiking.org.
                                                             the risk for depression.
On this site, they’re classified by difficulty; for
example, trails with no obstacles and small hills          > Sun exposure can boost the immune system
are labeled “easy.” You can also see reviews and             by strengthening white blood cells that
trail rankings by other hikers.                              fight infection.

Important note: Always talk to your doctor
before starting an exercise program.

                            NATIONAL PARK SENIOR DISCOUNT PASS
                            Discount passes to national parks are available for adults aged 62+. For
                            details, visit www.nps.gov/planyourvisit/senior-pass-changes.htm.

                                        Sources: www.time.com; ScienceDaily; Harvard Health; Mayo Clinic; New York Times

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MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
SAVE MONEY AND TIME
    Cigna extras to boost your well-being
    American author and humorist Will Rogers once
    said, “The quickest way to double your money is to
    fold it in half and put it in your back pocket.”
    If that sounds like advice you’re interested in following, Cigna
    can help. We offer lots of ways to help keep dollars in your
    pocket and save you valuable time.

    Take a look at the extra benefits listed below. You can
    find details about these and more on our website at
    CignaMedicare.com/supplementalbenefits. Call Customer
    Service if you have questions.

                   Save money
    Dental, vision and                            Fitness center                                Home delivery
    hearing benefits                              membership                                    pharmacy
    Many Cigna Medicare                           The Silver&Fit® Healthy                       If your plan includes
    Advantage plans offer                         Aging and Exercise program*                   prescription drug coverage,
    dental, vision and hearing                    provides a fitness center                     our preferred home delivery
    benefits that aren’t covered                  membership at participating                   option often provides
    by Medicare. For example,                     locations at no additional                    the lowest cost for your
    your plan’s dental benefits                   cost. Or, if you prefer to                    medications, especially if
    may cover preventive care                     exercise at home, you can                     your prescription is for a
    like routine dental exams.                    enroll in Silver&Fit’s home                   90-day supply of a drug
    Vision benefits often include                 fitness program. Both options                 you take on a regular
    a routine eye exam and/or                     include access to a mobile                    basis. The Express Scripts
    a yearly allowance toward                     app to track your fitness                     PharmacySM is the preferred
    the cost of lenses, frames or                 activity and weekly, one-                     home delivery pharmacy**
    contacts. And some of our                     on-one telephone lifestyle                    for many Cigna customers.
    plans offer hearing benefits                  coaching sessions.                            To get started, call Express
    that may cover a hearing                                                                    Scripts at 1-877-860-0982
    aid fitting, evaluation and an                Visit www.silverandfit.com                    (TTY 711), Monday - Friday,
    allowance that could help pay                 for details, and see the article              7 a.m. – 11 p.m. Central Time,
    for a hearing aid.                            on page 11 for more on virtual                visit Express-Scripts.com,
                                                  fitness.                                      call Cigna Customer Service
                                                                                                or check your Customer
                                                                                                Handbook.

    * Non-standard services at the fitness center that call for an added fee are not included in the Silver&Fit program and are not
      covered. Silver&Fit is provided by American Specialty Health Fitness, Inc., (ASH Fitness), a subsidiary of American Specialty
      Health Incorporated (ASH). All programs and services are not available in all areas. Silver&Fit is a federally registered trademark
      of ASH and used with permission herein. Other names may be trademarks of their respective owners. Kits are subject to change.
      Participating facilities and fitness chains may vary by location and are subject to change.
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MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
Over-the-counter                             Transportation                                    These extras aren’t
(OTC) allowance                              Routine transportation                            included in all plans,
Your plan may provide a                      benefits provide non-
                                             emergency trips to and from
                                                                                               and limitations,
quarterly allowance you can
use to order certain OTC                     approved locations within                         copayments and
items, like aspirin, cold and                60 miles of your home at no                       restrictions may
sinus medicine, vitamins,                    cost. Rides via vans, taxis,
                                             wheelchair-equipped vehicles                      apply. Check
bandages, toothbrushes and
more. The amount of your                     or the Lyft rideshare service                     your 2021 Benefit
allowance depends on your                    are scheduled through
                                                                                               Guide or Evidence
plan. If your plan includes                  the transportation service
this benefit, you should have                listed in your Benefit Guide                      of Coverage at
received an OTC catalog in the               or Evidence of Coverage.                          CignaMedicare.com/
mail. To request a new catalog,              For more information
                                             and a short video on the                          advantage/resources
call Customer Service. For
more information and a short                 transportation benefit,                           for benefit details and
video on the OTC benefit, visit              visit CignaMedicare.com/                          to see which of these
CignaMedicare.com/otc.                       transportation.
                                                                                               benefits are included
                                                     Continued on next page
                                                                                               in your plan.

** Other pharmacies are available in our network. Preferred pharmacies are not available in all plans. For a complete list, visit
   CignaMedicare.com. Express Scripts may also contract with other Medicare Advantage plans. Express Scripts Pharmacy is a
   trademark of Express Scripts Strategic Development, Inc.

                                                                                                                                    7
MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
SAVE MONEY
    AND TIME                               continued

               Save time
    Looking for a doctor or medication, or information about how to pay your premiums?
    We can help you quickly find what you need.

    Automated premium payment tools                      Online provider directory
    If your plan has a premium, you can mail your        Most Cigna Medicare Advantage plans require
    payment or use one of these free autopay             you to choose a primary care provider (PCP)
    options:                                             from our provider network to serve as the
    > Electronic Funds Transfer (EFT), where your        leader of your health care team. For some
      premium is automatically deducted from your        plans, it’s not required, but we still encourage
      checking account                                   you to select a PCP. Search for network
                                                         doctors and specialists near you by visiting
    > Social Security deduction, where your              Cigna.com/medicare/resources and clicking
      premium is deducted from your monthly              on “Find a Doctor.” If you need help, or want to
      Social Security check                              confirm the doctor is still accepting patients,
    To sign up for autopay, call our Enrollment          give Customer Service a call.
    & Eligibility Department at 1‑800‑973‑2580,
    option 1 (TTY 711), Monday – Friday,
    8 a.m. – 4:30 p.m.
                                                         Online pharmacy and
                                                         medication directory
                                                         You can easily search for network pharmacies,
    Telehealth services                                  look up medications to see if they’re covered
    Instead of visiting your doctor’s office, you        under your plan and estimate costs for specific
    might be able to see your network provider           medicines. Use our online search tool at
    from the comfort of your home by scheduling          Cigna.com/medicare/resources and click on
    appointments via telehealth. Learn more about        “Find a Drug or Pharmacy.”
    telehealth on page 11.

       REVIEW YOUR EVIDENCE OF COVERAGE
       Your plan’s Evidence of Coverage (EOC) contains lots of important benefits-related information.
       This includes your rights and responsibilities as a Cigna customer; any potential network, service
       or benefit restrictions; and pharmacy management procedures. You can view and download
       your EOC online at CignaMedicare.com/quickstart by clicking on “Evidence of Coverage” under
       Quick Links. Or call Customer Service to request a printed copy.

8
MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
OPIOID SAFETY TIPS
Understanding risks and what
to do in an emergency
If you’ve ever been prescribed opioid pain medication, like hydrocodone,
oxycodone or codeine, you may have taken it without thinking twice. But did you
know that taking even a short-term course of opioids can put you at risk for an
overdose? It can happen to anyone, so here are some safety tips to keep in mind:

1   Understand the risks.
    Opioids are powerful drugs that boost your
    body’s dopamine levels, also called the feel-
                                                    3    Have an emergency plan.
                                                         Anyone who takes an opioid can be at
                                                         risk for an accidental overdose and should
    good hormone, to relieve pain. Over time, it         consider keeping naloxone on hand.
    can take higher doses to achieve the same            Naloxone is an emergency medicine that
    pain-relieving effect, which can increase the        rapidly reverses opioid overdose. It’s given
    risk of addiction or overdose. In rare cases,        via nasal spray or injection and quickly
    dangerous side effects or overdose can               restores breathing while temporarily
    occur even when taken as directed.                   undoing other opioid effects. It takes effect
                                                         within minutes but also wears off quickly, so
    These medications can also cause unwanted            it’s important to still seek emergency care
    side effects, such as dizziness, confusion           even if the first dose is effective.
    and fatigue, which could increase fall risk.
                                                         Talk to your doctor about getting a
                                                         prescription for naloxone. Be sure

2   Know the signs of an overdose.
    Both patients and caregivers need to be
    able to recognize signs and symptoms of
                                                         household members and close contacts
                                                         know where it’s stored and how to
                                                         administer it in an emergency.
    a possible opioid overdose. Symptoms
    include severe drowsiness, slowed                    Timing is everything! Naloxone should be
    breathing, small pupils and an inability to          given as soon as possible after calling 911 if
    respond or wake up.                                  an opioid overdose is suspected. Naloxone
                                                         is safe to give to a nonresponsive person,
                                                         even if you’re not sure an opioid overdose
                                                         has occurred. It only works when an opioid
                                                         is present in the body.

                                                    For more information about opioid overdose,
                                                    talk to your doctor or pharmacist, or visit
                                                    www.cdc.gov/drugoverdose/patients.

                                                    Sources: U.S. Food and Drug Administration; Centers for
                                                    Disease Control and Prevention

                                                                                                              9
MORE FROM LIFE A HEALTHY DOSE - OF VITAMIN N(ature) - Cigna
CARING FOR
     BODY AND MIND,
     VIRTUALLY
     Use technology to treat
     the whole you

10
The pandemic has created plenty of challenges, but it has also opened our eyes
— and minds — to the benefits of telehealth, a previously non-traditional way of
accessing health care. Also called telemedicine or virtual health care, more of us are
seeing our doctors over a smartphone or computer screen these days. In fact, one
survey* found that patient use of telehealth services skyrocketed from just 11% in
2019 to an astonishing 46% in 2020.

You can turn to your devices for more than
health care — you can also tap into resources             VIRTUAL MENTAL HEALTH
from home to improve your mental health and
                                                     If you’re dealing with an issue like depression
physical fitness. Keep reading for more on
                                                     or anxiety, help is as close as your telephone.
virtual health.
                                                     Behavioral health services are confidential and
                                                     available at no cost to you.
     VIRTUAL PHYSICAL HEALTH
                                                     How it works: Call the Cigna Medicare
Telehealth has long been used to remotely            Behavioral Health support line at
monitor certain conditions, like diabetes and        1-800-866-6534 (TTY 711), 24 hours a day,
congestive heart failure. But COVID-19 has           7 days a week.
put virtual visits front and center. They’re an
effective, alternative way for primary care               VIRTUAL PHYSICAL FITNESS
providers (PCPs) and specialists to treat
patients without exposing them to others who         Many of our plans offer membership in the
may carry the virus. That means you can skip         Silver&Fit® Healthy Aging and Exercise program
the crowded waiting room and talk privately to       at no additional cost (see page 6). You can
your doctor from the comfort of your couch.          view digital workout videos and daily classes
                                                     via the Fit at Home™ program on the Silver&Fit
How it works: Call your doctor’s office and ask
                                                     YouTube channel and Facebook Live. You’ll find
if they offer telehealth appointments. If they do,
                                                     videos for all fitness levels — beginner through
staff can give you instructions on how to connect
                                                     advanced — and a variety of options to choose
with your doctor. Cigna is continuing to cover
                                                     from, including cardio, strength, flexibility
telehealth visits in 2021 as long as you use a
                                                     and balance exercises, yoga, and exercises to
network provider (a PCP or specialist visit copay
                                                     improve mobility.
may apply). Check your Evidence of Coverage or
call Customer Service if you have questions.         How it works: Visit www.silverandfit.com and
                                                     click on “Try Free Daily Workouts.” You’ll see a
MDLIVE telehealth services                           class schedule and links to Silver&Fit’s YouTube
As an alternative to your PCP’s telehealth           channel and Facebook Live, where you can
services — or if your PCP doesn’t offer              easily find the kinds of workouts you want. For
telehealth — you can contact an MDLIVE               example, choose Easy Going Yoga for a series
provider for minor concerns. MDLIVE providers        of instructional yoga videos designed just for
are board-certified doctors committed to             older adults.
quality virtual care. Call 1-866-301-8658
(TTY 711), 24 hours a day, 7 days a week, or         * McKinsey COVID-19 Consumer Survey
visit MDLive.com/CignaMedicareAZ.
Note: Telehealth is NOT your best option if
you have a medical emergency, like chest pain,
a suspected stroke or a severe injury. If your
situation requires hands-on, immediate care, go
to the emergency room or call 911.

                                                                                                        11
THIS WAY TO
     WELLNESS
     PREVENTION
     Detecting health problems early is the key to avoiding serious
     illness and hospitalization. Cigna provides tools and resources
     to help you do just that.

     Annual wellness exam
     If you haven’t already done so, schedule an appointment with your
     primary care provider (PCP) for your yearly 360 Exam (Wellness Exam)*
     This exam is more than just an annual physical. It’s a thorough check-up
     that looks at your:
     > Current health status and           > Pain level
       medical history                     > Mental health status
     > Family and social history           > Health risk factors, if any
     > Medications

     Preventive screenings
     Cigna covers the same preventive screenings as Original Medicare with
     no added cost to you.* For a list of recommended screenings, see your
     Customer Handbook or Cigna Passport to Health (described below). Then,
     talk to your doctor about which screenings are right for you.

     Passport to Health
     Use your Cigna Passport to Health to track the
     preventive screenings you’ve had and those you
     still need. You can also record important phone
     numbers and keep a list of your medications in this
     handy booklet. Share it with your doctor or nurse
     at each medical appointment.

     You should have received a Passport to Health in
     the mail in January. If you didn’t, call Customer
     Service to request one.

12
INCENTIVES &                                                         WE HEAR YOU!
                                                                     Keep letting us know
REWARDS                                                              If you’ve ever participated in
Taking the preventive care steps on the                              a survey about our programs
previous page can help keep you healthy,                             and services, your input led
strong and independent, and that’s a                                 us to make many positive
reward in itself. But we sweeten the deal                            changes. We’re now seeing the
with incentives that can save, and even                              results of our efforts: 84% of
earn, you money.                                                     our customers are in plans that
                                                                     have earned 4+ Star ratings
Healthy activity incentives                                          — out of a possible 5 Stars —
You can earn up to $50 in gift cards for                             from the Centers for Medicare
completing your yearly 360 Exam (Wellness                            & Medicaid Services (CMS).
Exam) and other doctor-recommended
screenings. Schedule your exam and                                   There are two key surveys we
screenings today. They must be completed                             encourage you to participate in if
by December 31, 2021 to earn the incentives.                         you’re asked:
To learn more, call Customer Service or visit
                                                                     > Cigna’s Customer Service
CignaMedicare.com/incentives to register.
                                                                       survey. If you call Customer
                                                                       Service, you may be asked to
Healthy Rewards® discount program                                      participate in a survey. If so,
Cigna’s Healthy Rewards program provides                               you’ll receive a phone call via
discounts on many health and wellness products                         an automated system within
and services, including weight and nutrition                           24 hours of when you called
management programs, yoga and wellness                                 Customer Service.
products, LASIK vision correction, acupuncture,
                                                                     > Consumer Assessment of
massage and more. Visit CignaMedicare.com/
                                                                       Healthcare Providers &
CHSRewards for details.
                                                                       Systems (CAHPS). In March,
                                                                       CMS may randomly select you
* The yearly 360 Exam (Wellness Exam) is covered at no added cost
                                                                       to participate in a survey about
  to you. Copayments/coinsurance may apply for other diagnostic
                                                                       your Cigna plan. If chosen, you’ll
  services received during the exam or preventive screening visit.
                                                                       receive the survey in the mail
                                                                       from a company called SPH
                                                                       Analytics. You can complete it
    HELP MANAGING HEALTH                                               and mail it back in the postage-
    CONDITIONS                                                         paid envelope provided. If you’re
                                                                       unable to mail your response,
    Cigna offers no-cost Population Health
                                                                       SPH will give you a call and you
    Management programs to eligible customers
                                                                       can answer survey questions over
    in certain states. These programs are
                                                                       the phone.
    designed to help you stay healthy, provide
    information about health risks, and
    manage chronic conditions, like diabetes
    and congestive heart failure. Check
    CignaMedicare.com for more information.

                                                                                                            13
FAST CARE,
     BUT WHERE?
     Making the case for an
     urgent care center

     It’s early evening and this morning’s twinge in your back has now turned to sharp
     pain. It’s getting worse by the minute, but your primary care provider’s (PCP’s)
     office is closed. Your first thought may be to head to to the emergency room; if so,
     think again! You have another option: an urgent care center.

     The where-to-go decision                              severe enough for a trip to a hospital’s ER. If
     It’s always a good idea to check with your PCP        urgent care providers do uncover something
     first when you need medical attention. He or          more serious, they can send you to the ER.
     she knows your medical history best. But if a         When your regular provider isn’t available,
     situation arises and your doctor isn’t available or   an urgent care clinic is a good alternative for
     can’t work you in, you have a decision to make:       things like:
     Do you go to the emergency room (ER), or can
     an urgent care center help you?                       > Lower back, urinary tract or stomach pain
                                                           > Severe coughs
     The benefits of urgent care                           > Vomiting or diarrhea
     An urgent care center is a walk-in clinic             > Suspected infections
     dedicated to outpatient care that offers some         > Minor injuries, like twists and sprains
     advantages over an ER, including:
     > Convenient locations closer to home                 Be prepared
     > Shorter wait times                                  Don’t wait until you’re sick to know where to go.
     > Lower costs                                         You can search for urgent care centers in your
                                                           area at CignaMedicare.com. Click the “Find a
     Urgent care teams specialize in illnesses and         Doctor, Dentist or Facility” button.
     injuries that need immediate care but aren’t

     IF YOU HAVE A TRUE EMERGENCY
     Calling 911 or visiting the ER should always be your first step for potentially life-threatening
     conditions or severe injuries. These include shortness of breath, chest pain, a severe asthma attack,
     kidney stones, serious burns and other major injuries.

14
SPRINGTIME
Spring is near! Make a plan to escape to the outdoors, where you can enjoy sunshine
and breathe fresh air. Search up, down, forward, backward and diagonally to find these
hidden springtime words:

Anew                  Caterpillar            Humidity                Pollen
Awakening             Daffodil               Kite                    Rainbow
Baseball              Daisy                  Ladybug                 Robin
Birds                 Ducks                  Lamb                    Seeds
Blossoms              Eggs                   Lemonade                Showers
Breeze                Garden                 Lush                    Sprout
Budding               Grasshopper            Nature                  Sun
Bumblebee             Green                  Outdoors                Umbrella
Butterfly             Growth                 Picnic

                                                         Puzzled? The solution is on page 17.

                                                                                                15
Dr. Gina Conflitti
                                                           Cigna Chief Medical Officer

                                                           Have you ever wondered how stressful events
                                                           can trigger a clinical disease like depression?

                                                            Extreme stress can cause changes in our
                                                            brains, affecting our mental health, and the
                                                            COVID-19 pandemic has been a stressful
                                                            event for many of us. For most older adults,
                                          it’s meant months of staying at home. This sudden change in
                                          lifestyle and social isolation can take a toll. Below, Dr. Gina
      ASK THE DOC                         Conflitti explains the science behind depression and how to
                                          get help.

     How can an event like a pandemic                     What will my doctor do?
     lead to depression?                                  If your doctor diagnoses you with depression,
     The pandemic is a perfect example of how an          he or she may prescribe medicine and/or
     extremely stressful event can set the stage for      recommend counseling.
     mental health problems. It’s caused high-risk
     groups like older adults to be fearful. And it’s     Is there anything I can do to
     meant they had to isolate from others to protect
     themselves and their loved ones. In short, it        help myself?
     turned everyone’s world upside down.                 Yes! Do your best to stay in touch with friends
                                                          and family. Make it a point to talk on the phone
     At our core, we’re social creatures who are used     until it’s safe to visit face to face. And care for
     to moving about freely and spending time with        your physical health by eating right and getting
     other people. When we’re deprived of human           regular exercise.
     contact and physical touch, it can cause reduced
     levels of certain brain chemicals. These include     If you need help, don’t hesitate to reach out.
     oxytocin (the cuddle hormone), serotonin             Call Cigna’s Behavioral Health support line at
     (the happiness hormone) and dopamine (the            1-800-866-6534 (TTY 711), 24 hours a day,
     feel-good hormone). As you can tell from their       7 days a week. Assistance is generally provided
     nicknames, these chemicals are responsible for       over the phone.
     boosting our mood. When levels get low, it can
     lead to clinical depression.
                                                          MORE HELP
                                                          The American Psychological Association offers
     How do I know if I should seek help?                 continually updated COVID-19 information
     It’s understandable to be worried or sad because     and resources at www.apa.org/covid-19.
     of COVID-19. But if you feel anxious, depressed,     You can also visit the National Alliance
     withdrawn, angry, or have difficulty sleeping or     on Mental Illness’s Coronavirus page at
     concentrating for more than two weeks, it’s time     www.nami.org/coronavirus.
     to talk to your doctor.

        This column is intended only as general interest and does not in any way create a doctor-
        patient relationship. As with all information contained in this magazine, you should discuss any
        health concerns with your doctor or caregiver. If you have any immediate health care needs,
        contact your doctor immediately. The information in this column is not intended to serve as
        medical advice.

16
myCigna MAKES IT PERSONAL
Convenient, easy access to your plan information
Have you heard about
myCigna.com? It’s a website
personalized just for you. Simply
register and you can:
> View your current coverage
  details and personal plan
  documents
> Access claims information and
  Explanations of Benefits (EOBs)
> Find providers and
  virtual care
> View and print an ID card
> Manage your prescriptions
> Sign up for email
  communications

Registering is optional and
won’t affect your benefits in any
way. Contact Customer Service
if you have questions about
myCigna.com.

  PUZZLE SOLUTION from page 15

                                                   17
Notice of Nondiscrimination: Discrimination is Against the Law
     Cigna complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin,
     age, disability, or sex. Cigna does not exclude people or treat them differently because of race, color, national origin, age,
     disability, or sex.
     Cigna:
     • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
       − Qualified sign language interpreters
       − Written information in other formats (large print, audio, accessible electronic formats, other formats)
     • Provides free language services to people whose primary language is not English, such as:
       − Qualified interpreters
       − Information written in other languages
     If you need these services, contact Customer Service at 1-800-627-7534 (TTY 711), October 1 – March 31, 7 days a week
     8 a.m. to 8 p.m., local time. From April 1 – September 30, Monday – Friday, 8 a.m. to 8 p.m. local time (a voice-mail system
     is available on weekends and holidays).
     If you believe that Cigna has failed to provide these services or discriminated in another way on the basis of race, color,
     national origin, age, disability, or sex, you can file a grievance with:
       Cigna
       Attn: Grievance Department
       PO Box 188080, Chattanooga, TN 37422
       Phone: 1-800-627-7534 (TTY 711) Fax: 1-888-586-9946.
     You can file a grievance in writing by mail or fax. If you need help filing a grievance, Customer Service is available to help
     you.
     You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights,
     electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or
     by mail or phone at:
       U.S. Department of Health and Human Services
       200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201
       1-800-368-1019, 800-537-7697 (TDD)
       Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

     All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna
     name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages
     other than English, language assistance services, free of charge are available to you. Call 1-800-627-7534 (TTY 711),
     8 a.m. to 8 p.m., 7 days a week (hours apply Monday – Friday, April 1 – September 30). ATENCIÓN: si usted habla un idioma
     que no sea inglés, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-627-7534 (TTY 711),
     8 a.m. a 8 p.m., 7 días de la semana (horario se aplica de lunes - viernes, del 1 de abril – 30 de septiembre). Cigna is
     contracted with Medicare for PDP plans, HMO and PPO plans in select states, and with select State Medicaid programs.
     Enrollment in Cigna depends on contract renewal. © 2017 Cigna
     INT_17_49135                                        v05012020                                                 20_NDMLI_AZ

18
English – ATTENTION: If you speak English, language assistance services, free of charge are
                       1-800-627-7534
available to you. Call (TTY 711).
Spanish – ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia
                      1-800-627-7534
lingüística. Llame al(TTY 711).
Chinese – ὀព㸸ዴᯝᝍ౑⏝⦾㧓୰ᩥ㸪ᝍྍ௨ච㈝⋓ᚓㄒゝ᥼ຓ᭹ົࠋㄳ⮴㟁
(TTY
 1-800-627-7534       711)ࠋ
Tiếng Việt (Vietnamese) – CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí
                        1-800-627-7534 (TTY: 711).
dành cho bạn. Gọi số 
)UHQFK&UHROH±$7$16
PO Box 20002
     Nashville, TN 37202

     Health and wellness or
     prevention information

     HEALTHY RECIPE

     Delicious Curried
     Chicken
     DIRECTIONS                                                              INGREDIENTS
     Wash chicken and pat dry. In a bowl, mix                                8 pieces skinless chicken (4 breasts,
     together curry powder, thyme, scallion, hot                             		4 drumsticks)
     pepper, cayenne pepper, black pepper, garlic,                           1½ teaspoons curry powder
     ginger and salt. Toss chicken in seasoning                              1 teaspoon dried thyme
     mixture. Marinate for at least 2 hours in the                           1 stalk scallion (green onion), chopped
     refrigerator. Heat olive oil in a skillet over medium                   1 tablespoon hot pepper, chopped
     heat. Add chicken and sauté. Add water and cook                         ½ teaspoon ground cayenne pepper
     chicken over medium heat for 30 minutes. Add                            1 teaspoon ground black pepper
     diced potatoes and cook for an additional 30                            8 cloves garlic, crushed
     minutes. Add onion and cook for 15 minutes more                         1 tablespoon fresh ginger, grated
     or until meat is tender. Serve warm.                                    3/4 teaspoon salt
     Makes 10 servings. Serving size: ½ breast or 2                          1 tablespoon olive oil
     small drumsticks                                                        1 cup water
                                                                             1 medium white potato, diced
     Per serving: 134 calories; 4g total fat; 1g                             1 large onion, chopped
     saturated fat; 49mg cholesterol; 279mg sodium;
     1g total fiber; 17g protein; 7g carbohydrates;                          Recipe is from the National Heart, Lung, and Blood Institute’s
     302mg potassium                                                         Heart Healthy Home Cooking African American Style
                                                                             collection at www.nhlbi.nih.gov.

     All Cigna products and services are provided exclusively by or                 CUSTOMER SERVICE
     through operating subsidiaries of Cigna Corporation, including
     Cigna Health and Life Insurance Company, Cigna HealthCare of                 1-800-627-7534 (TTY 711)
     South Carolina, Inc., Cigna HealthCare of North Carolina, Inc., Cigna                  October 1 – March 31:
     HealthCare of Georgia, Inc., Cigna HealthCare of Arizona, Inc., Cigna              7 days a week, 8 a.m. – 8 p.m.
     HealthCare of St. Louis, Inc., HealthSpring Life & Health Insurance                  April 1 – September 30:
     Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-                   Monday – Friday, 8 a.m. – 8 p.m.
     Atlantic, Inc., and Bravo Health Pennsylvania, Inc. The Cigna name,
     logos, and other Cigna marks are owned by Cigna Intellectual                   Messaging service used weekends,
     Property, Inc. This information is not a complete description of               after hours and on federal holidays.
     benefits. Call 1-800-627-7534 (TTY 711) for more information.
     Cigna-HealthSpring is contracted with Medicare for PDP plans,
     HMO and PPO plans in select states, and with select State
     Medicaid programs. Enrollment in Cigna-HealthSpring depends on
     contract renewal. © 2021 Cigna
                                                                                                 Together, all the way.             ®

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